Organization Active NPI

James E. Folsom & Thomas D. Dennis Dr.S

  • Eyewear Supplier
  • Pompano Beach, FL
National Provider Identifier
1053597310
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
OPC813 Issued in FL
Legal business name
JAMES E. FOLSOM & THOMAS D. DENNIS DR.S
Practice address
1541 E Atlantic Blvd
Pompano Beach, FL 33060-6748
Phone
(954) 942-1313
Fax
(954) 942-0099
NPI assigned
Jan 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Thomas David Dennis, O.D.
Title
Partner
Phone
(954) 942-1313

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X OPC813 FL Primary

Addresses

Primary practice location

1541 E Atlantic Blvd
Pompano Beach, FL 33060-6748

Mailing address

1541 E Atlantic Blvd
Pompano Beach, FL 33060-6748
Phone (954) 942-1313

Other identifiers 1

IdentifierTypeStateIssuer
084172-200MedicaidFL

National Provider Directory

National Provider Directory

Locations

1541 E Atlantic Blvd
Pompano Beach, FL 33060
Phone (954) 942-1313

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1200528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1053597310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606748",
            "telephone_number": "954-942-1313",
            "fax_number": "954-942-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1541 E ATLANTIC BLVD",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330606748",
            "telephone_number": "954-942-1313",
            "fax_number": "954-942-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES E. FOLSOM & THOMAS D. DENNIS DR.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-17",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "DENNIS",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "954-942-1313",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "FL",
            "license": "OPC813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084172-200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pompano Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.